Please read this document in its entirety, supply the following information, and submit online. All proposals will be reviewed for consideration. Incomplete applications will not be reviewed. If accepted, presenters will be notified by email. You will also receive written confirmation with specifics regarding the symposium. The primary presenter of a class, workshop or laboratory session is eligible for one symposium registration and a $150 honorarium. (One registration and honorarium per person even if presenting multiple classes. NOTE: If you are going to present a single 10 minute case study as part of a round table discussion, you are not eligible for the free/reg and honorarium.)

After submitting, you will have an opportunity to print your proposal. If your proposal is approved, you will receive additional information about submitting copies of the presentation and/or handouts.

*indicates required field

Presenter Contact Information

First Name:*

Last Name:*

Email:*

Re-enter Email:*

Telephone:*

Street Address:*

City:*

State:*

Zipcode:*

Licensed Affiliation/Agency Contact Information

Name of Licensed Organization:*

Organization Address:

Organization City:

Organization State:

Organization Zipcode:

Contact First Name:

Contact Last Name:

Contact Title:

Contact Email:

Contact Telephone:

Presentation Details

Type of Presentation:*

Species Covered:*

Presentation Title (50 character maximum):*

Presentation Length:*

Other Presentation Length:

Presentation Summary/Abstract:*

Presenter Biographic Information*

Presentation Logistics Start Box

Audio/Visual Requirements:

Digital ProjectorMicrophoneWiFiLaptopOther

A/V equipment you will provide:

Any other special equipment (chairs, tables, floor coverings)?

Do you have any special needs (transport supplies, equipment, anything not covered above)?